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AGENCY

December 8, 1995 _

Status of Document:

Assassination Records Review Board
Final Determination Notification

: HSCA
RECORD NUMBER :
RECORD SERIES :

AGENCY FILE NUMBER $:

180-10068-10362
STAFF PAYROLL RECORDS

Postponed in Part

Number of releases of previously postponed information: 4
Reason for Board Action: The Review Board's decision was premised on several factors
including: (a) the significant historical interest in the document in question; (b) the
absence of evidence that the release of the information would cause harm to the United

_ States or to any individual.

- Number of Postponements: 2

Postponements: All the postponements in this document represent Social Security numbers. .

Reason for Board Action: The text is redacted because the public disclosure of the redaction could
reasonably be expected to constitute an unwarranted invasion of personal privacy, and that invasion of
privacy would be so substantial that it outweighs the public interest.

Substitute Language: SSN

Date of Next Review: 2017

Board Review Completed: 10/24/95

‘NW 88326

Dochd:37243328 Page 1 f


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see Date:08/20/93
; Page:1
_ JFK ASSASSINATION SYSTEM

_ IDENTIFICATION FORM

AGENCY INFORMATION

“AGENCY :; HSCA
RECORD NUMBER : 180-10068-10362

RECORDS SERIES
STAFF PAYROLL RECORDS

AGENCY FILE NUMBER :

| - ORIGINATOR :
i FROM :
TO :

TITLE :

DATE

I 05/12/78
: PAGES

4

SUBJECTS :
| HSCA, ADMINISTRATION
GREEN, CHARLOTTE

DOCUMENT TYPE PRINTED FORM

CLASSIFICATION : U

RESTRICTIONS : 3

CURRENT STATUS : P
DATE OF LAST REVIEW : 07/07/93

OPENING CRITERIA

COMMENTS
Box #:1.

| _ [{R] - ITEM IS RESTRICTED

‘NW 88326
Dochd:37243326 Page 2


PAYROLL AUTHORIZATION FORM: us , .
; (Please Use Typewriter ~ . U. S: Hous 3c. oe REPRESENTATIVES: - * (Any. erasures; corrections, or changes.
"or Ballpoint Pen) _ Washington, D.c. 20515, nhs form mut e initiated-by the *
To the Clerk of the House of Representatives: ee

‘| hereby authorize the following ‘payroll action?) >.

Employee Name First-Middle-Last) ~ “Effective Date™

Charlotte Green
Employee Social Security Number -

- 448-52- 9361

Employing Office: or Committee/Subcommittee -

W378 ;
--- Type of Action

CO) Appointment
Q Salary Adjustment
‘O Title Change:

wie Termination (Ai close of business on effective date)

U1 Leave without pay (Beginning with effective date above and ending

Assassinations

close of business aoe nee eee }
_ Specify Date

(If type of action:is an Appointment; Salary: ‘Adjustment, ‘or Title, Change, ‘complete: appropriate information below.) *

Position Title _ . Gross fomual Saar? =

 ™ If emoloyee is-a civil service annuitant: {includes U:S, House of: Representatives), the-gross annual salary: shown :should-include the annuity recéived by the employee * ‘,

plus the salary received from the- employing office.:

(If Committee Employee, complete appropriate item below.) - oe ’

1O - ane Committee: Staff—O Clerical or 1) Professional.

(If Employee of an Officer of the House; complete item below.)

Position Number____—. oe If applicable, level. Step_._.__..

| certify that. this. authorization - ‘Is “not’in -violation: of 5 U.S.C: 3110(b), prohibiting the employment: of -

relatives.

Date August WG | 19_78

mm es Pe I LLL t —ftte- - Fe ature of Authovining Oficgh DTT TTT --—-

All appointments and- salary adjustments for. employee's under the House Classification ‘Act and for: Committee. -em-.

- ployees, except those of the Committee on Appropriations, the: Committee on the. Budget, and the Joint’ Committees, must °°

be approved by the Committee on House Administration.’ ©

APPROVED:

Office of Finance use only:

Office Code

en

(Revised: August 1977

Dama ee os Copy for Initiating Office.or-Committee:: .-: »-

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PAYROLL AUTHORIZATION N FORM
(Please Use. Typewriter : (> Be
or Ballpoint Pen)"

US. ‘HOUSE OF REPRESENTATIVE fr. b led b th
"Washington, D.C. 20515 a Sita oa inated by tie

To the Clerk of the House of. Representatives:

| hereby authorize the following payroll-action:

Charioctte Green 8/12/78

12) Appointment

O Salary Adjustment

O Title Change

C] Termination (At close of business on effective date)

14-52-9861 | .

Employing Office or Committee/Subcommittee .

C1 Leave without pay (Beginning with effective date above and ending |.

"close of business wee eee )
Specify Date

Assassinations

(If type of action is an Appointment, Salary Adjustment, or Title Change, complete appropriate information below.)

Position Title

se20.09

* If employee is a civil service annuitant (includes U.S. House of Representatives), the gross annual salary shown should include the annuity received by the employee~
plus the salary received from the employing office.

Gross Annual Salary *

(If Committee Employee, complete appropriate item below.)

1. O Standing Committee: Staff—L] Clerical or 0 Professional.

2. Special (Investigative staff of Standing Committee) or Select Committee: Authority—H. Res 956 of 95ticongress.
3. O) Joint Committee. a

(If Employee of an Officer of the House, complete item below.)

. Position Number If applicable, Level_ Step_______.

| certify that this authorization is not in violation of 5 U.S.C. .3110(b), prohibiting the “employment of
relatives.

Dote.__May 22000 ee woo ee. |
: : (Signature of Authorizing Official
LOUIS STOKES
ot appropriate, Tignature of Subcommittee Chairman or Ranking Minority Membe) > Ten Te or print name of Authorizing Official), SOO
CHA TRMAN

(Type or print name and title of above official) ao Title= If. Member, District and Siate)

. All appointments and salary adjustments for employee's under the-House Classification Act- and for Cornmittee -em-

. ployees, except those of the Committee on Appropriations; the Committee ‘on the- Budget, and the Joint Committees, must

be approved by the Committee on House Administration.

APPROVED:

Chairman, Committee on House Administration -

Office of Finance use only:

Office Code

(Revised August 1, 977

(Any erasures, corrections, or changes .

rt ease ee

Employee Name (First-Widdle-Last)  —- Effective Date
Employee Social Security. Number Type of Action . a

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: Nw 88326 ; ne: opr poe
| Docld:32243328 Page 4 ‘ ; Oye! ;

Certificate of Relationship/Nonrelationship to
Any Current Member of Congress

|

—~y I certify that I do not have any of the following relationships to any
current Member of Congress.

father nephew sister-in-law

mother niece stepfather
son husband stepmother
daughter wife stepson
brother father-in-law stepdaughter
sister mother-in-law stepbrother
uncle son-in-law stepsister
aunt daughter-in-law half-brother

first cousin brother-in-law half-sister.

[_] I certify that I am the

(Relationship)

Honorable
(Name of Member to whom related)

. GPO —_16-78695-3

ochd:372743376 Page 5

FROM:

DATE:

RE:

ICM: j

|| NW 88326
ocld:32243328 Page 6

| a summer intern.

MEMORANDUM

Thomas Howarth, Budget Officer
Elizabeth Berning, Chief Clerk

I. Charles Mathews, Special counse LW

May 22, 1978

Charlotte Green

Please be advised that effective Friday, May 12,

1978, Ms. Charlotte Green joined the Committee staff as

$6240.00 per annum.

If you have any questions concerning this matter,

please contact me at your convenience.

Her effective starting salary will be


